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TPA Claim Director

TPA Claim Director

ChubbLos Angeles, California, US
30+ days ago
Job type
  • Full-time
Job description

Perform assignments, tasks or activities that contribute to the overall business objectives of the corporation and the business divisions being supported.  Develop and maintain strong relationships with both external and internal customers in an effort to increase productivity with a focus on achieving claims handling excellence.  Maintain proactive management of claims by focusing efforts toward expedient and equitable resolutions and ensuring established reserves reflect Chubb North America’s financial exposure. Provide timely and appropriate direction and authority to ESIS and Third Party Administrators.  This position can work out of our Chatsworth, CA, Dallas, TX, Portland, OR, Phila., PA, Atlanta, GA, Buffalo, NY, Overland Park, IL or Richmond, VA offices and is not remote.

Key Responsibilities :

  • Establish strong relationships with Third Party Administrators
  • Oversight management of approximately 415 claims
  • Provide direction, reserve and settlement authority to claim handlers as outlined in Chubb North American Claim Handling Guidelines and within Director’s authority, elevating requests above authority to appropriate management levels for approval

Perform assignments, tasks or activities that contribute to the overall objectives of the business division being supported including but not limited to; conducting audits, providing financial analysis on reserve adequacy, identifying occupational disease exposures, and providing expertise on jurisdictional nuances.

Work closely with other Chubb disciplines in a team environment consisting of underwriting, actuarial, legal and accounting

  • Ensure all recovery opportunities are investigated and explored
  • Participate in the assigned weekly rotation Claim Loss Report (CLR) Committee to discuss complex claims

    Identify trends to determine individual or office weaknesses and develop action plans to correct negative trends and establish monitoring method to insure action plans have been successfully implemented.

    Responsible for implementation, monitoring and reporting on results of assigned special projects

    Participation in jurisdictional or procedural training by Chubb North American Claims

    Facilitate training for emerging jurisdictional or procedural issues

  • Demonstrate skills in the following competencies : Strategic Leadership,
  • Remember to check your CV before applying Also, ensure you read through all the requirements related to this role.

    Business Acumen, Orientation to Results, Influencing Outcomes, and Focus on Development

  • Have an excellent understanding and demonstrated ability to apply the technical aspects of claim handling
  • Effectively evaluate programs and procedures for continuous improvements
  • Qualifications / Credentials :

    Minimum of 5 to 7 years WC claims and / or legal experience; supervisory experience a plus

    Bachelor Degree or equivalent business experience

    Working knowledge of industry best practices and procedures

    Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues

    Demonstrated oral and written communication skills, negotiation skills and influence management skills

    Ability to manage and operate in a team effectively

    Ability to facilitate and lead group(s) of people

    Demonstrate a proactive approach to servicing both external and internal customers

    Excellent interpersonal skills and ability to maintain positive approach

    Excellent time management and organizational skills

    Insurance courses a plus

    If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.

    The pay range for the role is $79,000 to $134,300. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.  Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.  The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled

    Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

    At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

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    Director • Los Angeles, California, US

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